Your IP : 216.73.217.79
<table border="0" width="900">
<tr><td colspan="2"><p>This agreement is between:</p></td></tr>
<tr><td style="width: 235px; height: 26px;" valign="top"><strong>Client:</strong></td>
<td style="height: 26px"><input type="text" name="Field1" id="Field1" value="<?php echo $_POST["Field1"]; ?>" required placeholder="Required" size="60" /><br>
<input type="text" name="Field2" id="Field2" value="<?php echo $_POST["Field2"]; ?>" size="60" /></td></tr>
<tr><td style="width: 235px" valign="top"><strong>Client Address:</strong></td><td><input type="text" name="Field3" id="Field3" value="<?php echo $_POST["Field3"]; ?>" required placeholder="Required" size="60" /><br>
<input type="text" name="Field4" id="Field4" value="<?php echo $_POST["Field4"]; ?>" size="60" /></td></tr>
<tr><td style="width: 235px" valign="top"><strong>Consulting Engineer:</strong></td>
<td><input type="text" name="Field5" id="Field5" value="<?php echo $_POST["Field5"]; ?>" size="60" required placeholder="Required" /><br>
<input type="text" name="Field6" id="Field6" value="<?php echo $_POST["Field6"]; ?>" size="60" /></td></tr>
<tr><td style="width: 235px" valign="top"><strong>Engineer Address:</strong></td>
<td><input type="text" name="Field7" id="Field7" value="<?php echo $_POST["Field7"]; ?>" size="60" required placeholder="Required" /><br>
<input type="text" name="Field8" id="Field8" value="<?php echo $_POST["Field8"]; ?>" size="60" /></td></tr>
<tr><td colspan="2"><p>The client hereby appoints the consulting engineer to perform consulting engineering services as described below:</p></td></tr>
<tr><td colspan="2">
<input type="text" name="Field9" id="Field9" value="<?php echo $_POST["Field9"]; ?>" required placeholder="Required" size="80" /><br>
<input type="text" name="Field10" id="Field10" value="<?php echo $_POST["Field10"]; ?>" size="80" /></td></tr>
<tr><td colspan="2"><p>Unless otherwise stated above, the services to be performed will generally be as described in the latest published ECSA Guideline Scope of Services and Professional Fees (Scope of Services and Professional of Fees for Persons Registered in terms of the Engineering Profession Act, 46 of 2000), subject to any amendments as described below:</p></td></tr>
<tr><td colspan="2">
<input type="text" name="Field11" id="Field11" value="<?php echo $_POST["Field11"]; ?>" size="80" /><br>
<input type="text" name="Field12" id="Field12" value="<?php echo $_POST["Field12"]; ?>" size="80" /></td></tr>
<tr><td colspan="2"><p>Where the services to be performed include construction monitoring, this shall be as described in the ECSA Guideline and the level of construction monitoring and the frequency and duration of site visits shall be as described below:</p></td></tr>
<tr><td colspan="2">
<input type="text" name="Field13" id="Field13" value="<?php echo $_POST["Field13"]; ?>" size="80" /><br>
<input type="text" name="Field14" id="Field14" value="<?php echo $_POST["Field14"]; ?>" size="80" /></td></tr>
<tr><td colspan="2"><p>The consulting engineer agrees to perform such services and the client agrees to pay the engineer to perform the services for the remuneration as described below:</p></td></tr>
<tr><td colspan="2">
<input type="text" name="Field15" id="Field15" value="<?php echo $_POST["Field15"]; ?>" size="80" /><br>
<input type="text" name="Field16" id="Field16" value="<?php echo $_POST["Field16"]; ?>" size="80" /></td></tr>
<tr><td style="width: 235px"><strong>The time for completion of the services is:</strong></td>
<td><input type="text" name="Field17" id="Field17" value="<?php echo $_POST["Field17"]; ?>" size="10" required placeholder="Required" /> <b>weeks</b></td></tr>
<tr><td style="width: 235px"><strong>Signature:</strong></td>
<td><input type="file" name="Field18" id="Field18" value="<?php echo $_POST["Field18"]; ?>" /></td></tr>
</table>